Improvement Activities is the third performance category in the Merit-based Incentive Payment System in 2025 and counts for 15% - 50% of the Final Score. By definition, these are activities that are likely to result in improved outcomes if providers participate in them. The 2025 final rule presents many improvement activities to choose from with the goal being for the provider to choose ones that align with their practice and patient base.
How are Improvement Activities Scored?
*Beginning in the 2025 performance period, improvement activities won’t be weighted. You must perform 1 or 2 depending on your reporting requirements. Small practices will receive full credit when attesting to one.
A clinician can consider an improvement activity satisfied once they have successfully participated in it for 90 consecutive days, unless otherwise specified in the activity description. To review the list of available activities and their guidelines, please visit the tool on the Quality Payment Program website.
Reporting
Reporting for the Improvement Activities category will be via a Yes/No attestation. It will be important that clinicians assemble and maintain appropriate documentation of their participation in activities in order to support themselves in the event of a MIPS audit.
Resources
2025 QPP Improvement Activities Quick Start Guide